SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1205870904
Family Medicine in Williamsport, PA
About Susquehanna Health Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1205870904) is a healthcare organization registered as a family medicine in Williamsport, Pennsylvania and active in the NPI registry since June 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susquehanna Health Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Susquehanna Health Medical Group, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 28Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Susquehanna Physician Services's NPI number?
The NPI number for Susquehanna Physician Services is 1205870904. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Susquehanna Health Medical Group.
Where is Susquehanna Physician Services located?
Susquehanna Physician Services is located at 740 High St Suite 4001, Williamsport, PA 17701. The listed phone number is (570) 321-2345.
What is Susquehanna Physician Services's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Susquehanna Physician Services enrolled in Medicare?
Yes. Susquehanna Physician Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Susquehanna Physician Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 4 Medicare specialties reassign their Medicare billing to Susquehanna Physician Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (25), Clinical Social Worker (1) and Osteopathic Manipulative Medicine (1). Of these, 4 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Susquehanna Physician Services was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Susquehanna Health Medical Group · NPI 1205870904
Family Medicine organization in Williamsport, Pennsylvania. Organization record, active in the CMS NPPES registry since June 15, 2006.
## Identity
- **NPI:** 1205870904 (Entity type: Organization)
- **Enumerated:** June 15, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Susquehanna Physician Services
- **Organization subpart:** No
- **Authorized official:** Melissa Davis, VP/COO
## Practice location
- **Address:** 740 HIGH ST, SUITE 4001, Williamsport, PA 17701-3100
- **Phone:** (570) 321-2345 · **Fax:** (570) 321-2359
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (25), Clinical Social Worker (1), Osteopathic Manipulative Medicine (1); 4 practice at this address and 25 within 10 miles; [full list](https://npiprofile.com/npi/1205870904/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2015
- **Other identifiers:** Medicaid 0017300760210 (PA); Medicaid 0017300760162 (PA); Medicare PIN CC0890 (PA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1205870904) · Data from the CMS NPPES public registry.